STEREOTAXIC BIOPSY OF NONNEOPLASTIC LESIONS IN ADULTS

被引：17

作者：

WHITING, DM ^{[1
]}

BARNETT, GH ^{[1
]}

ESTES, ML ^{[1
]}

SILA, CA ^{[1
]}

RUDICK, RA ^{[1
]}

HASSENBUSCH, SJ ^{[1
]}

LANZIERI, CF ^{[1
]}

机构：

[1] CLEVELAND CLIN FDN,CTR COMP ASSISTED NEUROSURG,9500 EUCLID AVE,CLEVELAND,OH 44195

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 1992年 / 59卷 / 01期

关键词：

STEREOTAXIC TECHNIQUES; BIOPSY;

D O I：

10.3949/ccjm.59.1.48

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Stereotactic biopsy of intracranial lesions has been used primarily for the diagnosis of neoplastic lesions. A series of 158 consecutive stereotactic biopsies per-formed at The Cleveland Clinic Foundation resulted in 28 diagnoses of non-neoplastic disorders (18%). The majority of these were infectious, inflammatory, or demyelinating disorders. Stereotactic biopsy alone was diagnostic in 17 cases (61%), and biopsy in conjunction with clinical and laboratory data established definitive diagnoses tn six cases (22%). All 23 definitive diagnoses led to modifications in patient management. Permanent neurologic morbidity occur-red in only two patients (7%). We maintain that this procedure is under-used. Stereotactic biopsy is safe, accurate, and useful for diagnosis of non-neoplastic neurologic disorders when the diagnosis is unclear by conventional means. In such cases, its use can lead to early diagnosis and treatment.

引用

页码：48 / 55

页数：8